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Journal of Indian Association of Pediatric Surgeons

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https://www.readbyqxmd.com/read/27695221/eventration-of-diaphragm-with-gastric-perforation-in-a-child-a-rare-presentation
#1
Kartik Chandra Mandal, Shibsankar Barman, Samiran Biswas, Rajarshi Kumar, Madhumita Mukhopadhyay, Biswanath Mukhopadhyay
No abstract text is available yet for this article.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695220/occult-cysto-biliary-communication-a-forgotten-complication-of-hepatic-hydatidosis
#2
Sundaram Jegadeesh, Jai Kumar Mahajan
No abstract text is available yet for this article.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695219/choledochal-cyst-with-an-aberrant-right-cholecysto-hepatic-duct-draining-into-cystic-duct-and-a-review-of-literature
#3
Varun Hathiramani, Janani Krishnan, Vinod Raj, Rajeev G Redkar
No abstract text is available yet for this article.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695218/hickman-to-central-venous-catheter-a-case-of-difficult-venous-access-in-a-child-suffering-from-acute-lymphoblastic-leukemia
#4
Arunangshu Chakraborty, Sanjit Agrawal, Taniya Datta, Suparna Mitra, Rakhi Khemka
Chemotherapy in children suffering from cancer usually requires placement of an indwelling central venous catheter (CVC). A child may need to undergo repeated procedures because of infection and occlusion of previous access devices. We present a case of CVC insertion in a child suffering from acute lymphoblastic leukemia where an innovative technique was employed.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695217/congenital-absence-of-appendix-a-surgeon-s-dilemma-during-surgery-for-acute-appendicitis
#5
Bikasha Bihary Tripathy
Congenital absence of the vermiform appendix is very rare in human beings with a reported incidence of 1 in 100,000 cases. Here, we report an incidence of a surgeon's dilemma to detect such a rare finding during surgery for a diagnosed case of acute appendicitis.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695216/the-role-of-laparoscopy-in-the-identification-and-management-of-missing-accessory-spleens-after-primary-splenectomy-a-case-report-and-literature-review
#6
George Vaos, Elpis Mantadakis, Stefanos Gardikis, Michael Pitiakoudis
We present a 7-year-old boy with recurrent thrombocytopenia after primary laparoscopic splenectomy for immune thrombocytopenia (ITP). Imaging modalities (ultrasound, computed tomography scan, and scintigraphy) revealed two accessory spleens while the subsequent second laparoscopy revealed 11, which were successfully removed. The relevant medical literature is reviewed, and the value of laparoscopy for chronic ITP is highlighted.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695215/coexisting-urogenital-anomaly-and-duodenal-atresia-in-two-atypical-holt-oram-syndrome
#7
Tuncer Ahmet Ali, Karavelio─člu Afra, Baskin Embleton Didem, Elmas Muhsin
Holt-Oram syndrome (HOS) is a rare autosomal dominant disorder, characterized by upper limb dysplasia and congenital cardiac defect. We report two cases with HOS, first associated with renal agenesis, coronal hypospadias, urethral duplication and second associated with duodenal atresia and horseshoe kidney that have not been reported in English literature.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695214/inflammatory-duodenal-necrosis-complicating-gastroschisis
#8
Dina Fouad, Geraint J Lee, Manasvi Upadhyaya, David Drake
Babies with gastroschisis have an increased risk of necrotizing enterocolitis (NEC) that can lead to short bowel syndrome, a long-term parenteral nutrition requirement, and its associated complications. To our knowledge, this is the first case report of recurrent duodenal ischemia and necrosis associated with gastroschisis in the absence of NEC totalis.
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695213/currarino-syndrome-rare-clinical-variants
#9
Bindey Kumar, Amit Kumar Sinha, Prem Kumar, Anil Kumar
Currarino syndrome (CS) is a rare clinical condition. The classical presentation includes a triad of sacral anomaly, anorectal malformations, and presacral mass. This syndrome belongs to the group of persistent neuroenteric malformations. This article presents two cases of Currarino syndrome, where there was rare clinical variants such as rectal atresia in the first case and rectal stenosis in the second case. The clinical presentations were very deceptive as the first case presented as high anorectal malformation and the second case was simulating Hirschprung's disease...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695212/laparoscopic-retrieval-of-unusual-intra-abdominal-foreign-bodies-in-children
#10
Yasir Ahmad Lone, Ravi Prakash Kanojia, Ram Samujh, Kattaragadda Laxmi Narasimha Rao
Foreign body (FB) ingestion is a common problem among the pediatric population. On numerous occasions, the FB is left to pass out spontaneously without expecting any harm. There are instances when the FB is either to dangerous to be left alone, that is a button battery or a sharp object. There may be FB, which is either stuck in GIT or have migrated. The situation in these instances demand active intervention. The traditional option has been laparotomy and retrieval. We present here three cases where two needles and a belt buckle were removed by laparoscopy thus avoiding a laparotomy...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695211/aggressive-cervical-neuroblastoma-with-a-rare-paraneoplastic-syndrome-a-therapeutic-dilemma
#11
Sajid S Qureshi, Monica Bhagat, Jay Anam, Tushar Vora
Neuroblastoma is infrequently associated with paraneoplastic syndromes. Amongst the few, opsomyoclonus (Kinsbourne syndrome) is the most common neurological paraneoplastic syndrome and diarrhea secondary to increased secretion of vasoactive intestinal peptide (Kerner-Morrison syndrome), hormonal paraneoplastic syndrome. Hypothalamic dysfunction (HD) is a rare disorder and its manifestation as a paraneoplastic syndrome of neuroblastoma is uncommonly reported. We present an interesting case of an unrelenting cervical neuroblastoma associated with HD, which posed a therapeutic challenge...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695210/gluteal-teratoma-a-rare-site-of-extragonadal-teratoma
#12
Hemonta Kr Dutta, Pronami Borah, Mauchumi Baruah
Extragonadal teratomas are rarely encountered in infants and children. These tumors are reported in retroperitoneum, floor of the mouth, mediastinum, craniofacial region or even in the solid organs of the body. Most of the gluteal teratomas reported in the literature are in fact, lateralized sacrococcygeal teratomas. We are reporting a case of unilateral big gluteal teratoma in a 6-year-old girl. The tumor did not have any connection with the sacrum or coccyx and was successfully removed. Histology showed well-differentiated bowel as well as fetiform structures...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695209/intragastric-pressure-useful-indicator-in-the-management-of-congenital-diaphragmatic-hernia
#13
Kartik Chandra Mandal, Pankaj Halder, Shibsankar Barman, Rajarshi Kumar, Biswanath Mukhopadhyay, Ram Mohan Shukla
AIMS: To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia. MATERIALS AND METHODS: Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure. RESULT: Patients were categorized in group A (15 patients), group B (14 patients) and group C (3 patients). In group C, IGP was more than 30 cm of water pressure and all of tehm required creation of ventral hernia and ventilator support...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695208/comparison-of-intravenous-urography-and-magnetic-resonance-urography-in-preoperative-evaluation-of-pelvi-ureteric-junction-obstruction-in-children
#14
Alok Sharma, Kushaljit Singh Sodhi, Akshay Kumar Saxena, Anmol Bhatia, Prema Menon, Katragadda L N Rao, Niranjan Khandelwal
AIMS: To compare intravenous urography (IVU) and magnetic resonance urography (MRU) in the preoperative evaluation of pelvi-ureteric junction obstruction (PUJO) in children. MATERIALS AND METHODS: A total of 35 children up to 10 years of age in whom unilateral or bilateral PUJO were suspected on ultrasonography were enrolled in this prospective study. All children underwent IVU and MRU, and the findings were compared. RESULTS: Of the 70 kidneys evaluated, 14 (20%) were not visualized on IVU because of nonexcretion of contrast, whereas all the 70 (100%) kidneys were visualized on MRU...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695207/scrotal-abscess-varied-etiology-associations-and-management
#15
Raghu S Ramareddy, Anand Alladi
AIM: To report a series of scrotal abscess, a rare problem, their etiology, and management. MATERIALS AND METHODS: A retrospective study of children who presented with scrotal abscess between January 2010 and March 2015, analyzed with respect to clinical features, pathophysiology of spread and management. RESULTS: Eight infants and a 3-year-old phenotypically male child presented with scrotal abscess as a result of abdominal pathologies which included mixed gonadal dysgenesis (MGD) [1]; three anorectal malformations with ectopic ureter [1], urethral stricture [1], and neurogenic bladder [1]; meconium peritonitis with meconium periorchitis [2], ileal atresia [1], and intra-abdominal abscess [1]; posturethroplasty for Y urethral duplication with metal stenosis [1] and idiopathic pyocele [1]...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27695206/the-long-term-outcomes-after-staged-repair-of-exstrophy-epispadias-complex
#16
Sajni I Khemchandani
INTRODUCTION: Classic bladder exstrophy (BE) is a rare malformation of the genito-urinary tract affecting 1:50,000 to 1:100,000 live births. The surgical reconstruction of the BE-epispadias complex is challenging for the most experienced pediatric urologists, surgeons, and orthopedists. PURPOSE: To assess the success of staged reconstruction of the BE and long-term effects on the upper urinary tract, renal function, and continence. MATERIALS AND METHODS: This is retrospective study; between 1994 and 2013, 30 patients with BE have undergone stage 1 repair at the institute...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27365913/unusual-postoperative-complication-of-minimally-invasive-transhiatal-esophagectomy-and-esophageal-substitution-for-absolute-dysphagia-in-a-child-with-corrosive-esophageal-stricture
#17
D K Kandpal, D K Bhargava, N Jerath, L A Darr, Sujit K Chowdhary
Esophageal substitution in children is a rare and challenging surgery. The minimally invasive approach for esophageal substitution is novel and reported from a few centers worldwide. While detailed report on the various complications of this approach has been discussed in adult literature, the pediatric experience is rather limited. We report the laparoscopic management of a rare complication which developed after laparoscopic esophagectomy and esophageal substitution. The timely recognition and management by the minimally invasive approach have been highlighted...
July 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27365912/management-of-long-segment-congenital-esophageal-stenosis-a-novel-technique
#18
Vishesh Jain, Devendra Kumar Yadav, Shilpa Sharma, Manisha Jana, Devendra Kumar Gupta
Congenital esophageal stenosis (CES) is a rare cause of dysphagia in children. Diagnosis is often apparent on esophagogram. Surgical treatment for the subtype with tracheobronchial remnants (TBR) includes resection and anastomosis of the stenosed segment, myectomy, enucleation of cartilage, etc., These procedures are not suitable if the stenosed segment is long. We present a case of a 5-year-old boy who was diagnosed as CES and was successfully managed with stricturoplasty with some innovative modifications...
July 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27365911/thoracoscopic-excision-of-foregut-duplication-cyst-a-case-report-and-review-of-literature
#19
Shandip Kumar Sinha, Ashwini Khanolkar, Nirali C Thakkar, Prince Raj, Parveen Kumar, Anju R Bhalotra
Thoracoscopy has major advantages over thoracotomy. We report a successful management of foregut duplication cyst thoracoscopically in a child with review of literature.
July 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27365910/a-new-approach-for-the-management-of-esophageal-atresia-without-tracheo-esophageal-fistula
#20
Nandini K Bedi, Alka G Grewal, Shubhra Rathore, Uttam George
Long gap esophageal atresia (OA) is a challenging condition. While discussing the various methods of management available to us, we report the use of magnetic resonance imaging in a case of pure OA to judge the gap between two ends of the esophagus.
July 2016: Journal of Indian Association of Pediatric Surgeons
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